Grace Christine Telepak

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

7500 University Dr
Bismarck, ND 58504-9634

Phone

(480) 495-4944

NPI assigned

Jan 27, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1548547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548547200000",
    "number": "1174087886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1780 W ASPEN AVE",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852333503",
            "telephone_number": "480-495-4944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 UNIVERSITY DR",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585049634",
            "telephone_number": "480-495-4944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELEPAK",
        "first_name": "GRACE",
        "middle_name": "CHRISTINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-27",
        "last_updated": "2019-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AZ",
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "ND",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Taylor
• Melissa M Taylor, PT
• Teanna Taylor
• Telehealth Physician Network, PLLC
• Keith Telenga, HA DISP
• Janna Marie Tellmann, LICSW
• Christina Marie Tello-Skjerseth, MD
• Abel E Tello, MD
• Anthony M Tello, MD
• Francisco A Tello III, DPM

• Athletic Trainer in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Athletic Trainer in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.